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12/22/2009 TUE 15:35 FAX 402 471 4429 UCC SECFtE'TARY OF STATE ~~y Hall idJ002/012 <br />~~ 3592 De artment of the Treasur -Internal Revenue Service <br />Form 668 (Z) p y <br />IRe~. ,o.zooo, Certificate of Release of Federal Tax Lien <br />_. _ _ <br />Area: <br />Serial Number <br />For Use by Recordin Office <br />WAGE & TNVEST7!~T AREA, #2 <br />Lien Unit Phpne: (800) 913-6050 219633405 "E ~a` oe s+et~ dohp p <br />Galc - ucc cpFr4 <br />1 certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed pn April 01 g909614a46-g <br />1 <br />2 D D 5 ~. <br />is authorized to note the books to show the release of this lien. far s: 1 <br />F i <br />1 @dN012122A2009 01:23 <br />these taxes and additions. PM <br />Name of Taxpayer <br />GONZALO & ROSA S LUEVANO <br /> 2oo9ioo5s <br />Residence 9 04 W NORTH FRONT ST <br />GRAND ISLAND, NE 6880,-4740 <br />COURT RECORDING INFORMATION: <br />Liber Page U Serial No- <br />2005 02832 905386957-9 02832 <br /> Tax Period Date of Last Dayy for unpaid Balance <br />Kind.of Tax Ending Identifying dumber Assessment Refiling of Assessment <br />(a) (b) (c (d) (e) f <br />1040 12/31/20D2 XXX-XX-8212 08/16/2004 09/15/2014 9513.17 <br />ar****~** ********~* ************* *~~******* **~*~*~**~*,r ****,r**~*****~r*~ <br /> <br />Place of Filing <br />Rega.ster of Deeds <br />Hall POBOX 1692 Total $ 9513.17 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 09th day of December ~ 2009 <br />Signature R Title Da.rector, Campus Compliance <br />Operations <br />(NOTE: Gertificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal lax lien Rev. Rul. 71-468, 1971 - 2 G.B. 409) Form bb8 (Z) (Rev. 10-2000) <br />Pare 1 -RECORDING OPlFIGE CA7. NO 600261 <br />